Answer this question truthfully
### Question: What causes Donovanosis?
### Response: Donovanosis (granuloma inguinale) is caused by the bacteria Klebsiella granulomatis. The disease is commonly found in tropical and subtropical areas such as Southeast India, Guyana, and New Guinea. However, it can sometimes occur in the United States, typically in the Southeast. There are about 100 cases reported per year in the United States. The disease spreads mostly through vaginal or anal intercourse. Very rarely, it spreads during oral sex.
Men are affected more than twice as often as women. Most infections occur in people ages 20-40. The disease is rarely seen in children or the elderly.